Individual provider Active NPI

Amy Kadavy, O.D.

  • Optometrist
  • York, NE
National Provider Identifier
1689792319
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1288 Issued in NE
Practice address
222 E 6TH St
York, NE 68467-3015
Phone
(402) 362-4592
NPI assigned
Mar 27, 2007
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1288 NE Primary

Addresses

Primary practice location

222 E 6TH St
York, NE 68467-3015

Mailing address

222 E 6TH St
York, NE 68467-3015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000144 NE Practitioner - Optometry 9032202635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare AssociatesGroup PAC ID 9234178534, 4 clinicians

Practice addresses (Care Compare)

222 E 6TH St
Eyecare Associates LLC
York, NE 68467-3015
Phone 402362459214

Merit-based Incentive Payment System (MIPS)

Final score
89.42 of 100Reported as individual
Quality
78.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1288NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates Optometrist CurrentSince Aug 1, 2007 Accepting new patients
Eyecare Associates Optometrist CurrentSince Aug 1, 2007 Accepting new patients

Locations

213 G St
Central City, NE 68826
Phone (308) 946-2612

213 G St
#L
Central City, NE 68826
Phone (308) 946-2612

222 E 6th St
York, NE 68467
Phone (402) 362-4592

222 E 6th St
#L
York, NE 68467
Phone (402) 362-4592

Interoperability endpoints

  • Direct secure messaging: amy.kadavy@direct.revolutionehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1689792319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 6TH ST",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684673015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 6TH ST",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684673015",
            "telephone_number": "402-362-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAVY",
        "first_name": "AMY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

Verify at the official NPI Registry.